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[Comment] Abdominal incision closure: small but important bites

In The Lancet, Eva Deerenberg and colleagues’ prospective, multicentre, double-blind, randomised controlled STITCH trial1 shows that the rate of incisional hernia is lower with small tissue bites than with large bites. This finding contradicts what surgeons have thought and been taught for many decades. In the study, 560 patients undergoing abdominal surgery via midline incision at surgical and gynaecological departments in ten hospitals were randomly assigned to receive continuous wound closure with either large tissue bites (1 cm from the wound edge) or small tissue bites (5 mm from the wound edge).